Provider Demographics
NPI:1477594190
Name:SWENSEN, ERIK (HSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:SWENSEN
Suffix:
Gender:M
Credentials:HSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8626
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:1575 BANNISTER ST
Practice Address - Street 2:SUITE 4
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-845-6641
Practice Address - Fax:717-846-3893
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014518104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01106303OtherCAPITAL BLUE CROSS
PA2153563OtherCIGNA BEHAVIORAL HEALTH
PA450020OtherPABS (FEP ONLY)
PA291098OtherMAMSI
PA455626OtherVALUE OPTIONS
PA291098OtherMAMSI
PAS62054Medicare UPIN